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ALLERGY FORMS AND RESOURCES

ALLERGY MANAGEMENT IN A SCHOOL SETTING

If your student has been diagnosed with potentially life-threatening allergies to certain foods, allergies to stinging insects, latex or other substances, D29 requests the following information each school year:

  1. Instructions from your child's health care provider for the school to follow in the event your child experiences an allergic reaction while at school. You may elect to use one of the allergy plans on this page or one from your own health care provider.
  2. Information about any prescribed medication to be used if an allergic reaction occurs, such as an Epipen. In addition to the allergy plan, please complete the medication authorization form below and return it to school. The health care provider should indicate on these documents if your child may carry and self-administer the medication.


These documents require a signature from both the health care provider and the parent/guardian. Please provide completed and signed documents, along with any prescription medication to be kept at school to the health office.

To discuss your child's allergy with the school nurse, call (847) 881 - 9455.

ALLERGY PLAN RESOURCES

Allergy and Anaphylaxis Action Plan (for any type of serious allergic reaction)
This form (or a similar form provided by your child's health care provider) should be filled out and signed by your child's health care provider. The school will follow this plan in the event you child experiences an allergic reaction while at school. 

Food Allergy and Anaphylaxis Care Plan (specific for food allergies)

FARE's Food Allergy and Anaphylaxis Emergency Care Plan outlines recommended treatment in case of an allergic reaction, is signed by a physician and includes emergency contact information. 

Please refer to foodallergy.org to find resources for children, teens and adults and get connected to others in your community with FARE.

 

MEDICATION AUTHORIZATION FORM

Medication authorization form. To gain authorization for a new medication or change in medication, submit the medication authorization form along with the prescription medication in its original container from the pharmacy to the school nurse. This can also be done prior to the start of the school year for routine medications. The form must be completed, signed and dated by the healthcare provider who prescribed the medication.

Sunset Ridge School District 29 / Schools / Sunset Ridge School (4-8) / Health Services / ALLERGY FORMS AND RESOURCES

 

 

ALLERGY MANAGEMENT IN A SCHOOL SETTING


If your student has been diagnosed with potentially life-threatening allergies to certain foods, allergies to stinging insects, latex or other substances, D29 requests the following information each school year:

1. Instructions from your child's health care provider for the school to follow in the event your child experiences an allergic reaction while at school. You may elect to use one of the allergy plans on this page or one from your own health care provider.

2. Information about any prescribed medication to be used if an allergic reaction occurs, such as an Epipen. In addition to the allergy plan, please complete the medication authorization form below and return it to school. The health care provider should indicate on these documents if your child may carry and self-administer the medication.

These documents require a signature from both the health care provider and the parent/guardian. Please provide completed and signed documents, along with any prescription medication to be kept at school to the health office.

To discuss your child's allergy with the school nurse, call (847) 881 - 9455.



 

ALLERGY PLAN RESOURCES

Allergy and Anaphylaxis Action Plan(for any type of serious allergic reaction)
This form (or a similar form provided by your child's health care provider) should be filled out and signed by your child's health care provider. The school will follow this plan in the event you child experiences an allergic reaction while at school. 

Food Allergy and Anaphylaxis Care Plan (specific for food allergies)

FARE's Food Allergy and Anaphylaxis Emergency Care Plan outlines recommended treatment in case of an allergic reaction, is signed by a physician and includes emergency contact information. 

Please refer to foodallergy.org to find resources for children, teens and adults and get connected to others in your community with FARE. 




 

MEDICATION AUTHORIZATION FORM

Medication authorization form. To gain authorization for a new medication or change in medication, submit the medication authorization form along with the prescription medication in its original container from the pharmacy to the school nurse. This can also be done prior to the start of the school year for routine medications. The form must be completed, signed and dated by the health care provider who prescribed the medication.